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which of the following therapies is appropriate for treatment of occasional heartburn

by Mrs. Geraldine Weber Published 3 years ago Updated 2 years ago

Treatment Many over-the-counter medications can help relieve heartburn. The options include: Antacids, which help neutralize stomach acid. Antacids may provide quick relief. But they can't heal an esophagus damaged by stomach acid. H-2-receptor antagonists (H2RAs), which can reduce stomach acid.

Full Answer

What is the best over the counter medicine for heartburn?

Mar 28, 2022 · Selected OTC Medications for Intermittent Heartburn. Abbreviations: Al (OH) 3, aluminum hydroxide; CaCO 3, calcium carbonate; H2RA, histamine-2 receptor antagonist; Mg (OH) 2, magnesium hydroxide; OTC, over the counter; PPI, proton pump inhibitor. *For frequent heartburn (2 or more days a week).

Why should I seek medical treatment for heartburn?

Which of the following therapies is appropriate for treatment of occasional heartburn? Antacids To which body part does blood travel to pick up oxygen and release carbon dioxide? lungs A chemical that allows for communication between one cell and another is a neurotransmitter Constipation can best be prevented by consuming adequate dietary fiber.

What is the best treatment for acid reflux?

If faster relief of an occasional bout of heartburn is the goal, try an H2RA first. For more frequent acid reflux, a PPI might be more appropriate. Mechanism: Different types of heartburn medicine use different mechanisms to address the same basic problem. Antacids chemically neutralize stomach acids but don’t affect acid production.

How do heartburn medications work?

Mar 03, 2022 · The following treatments are often given to resolve the underlying conditions that cause heartburn: Triple therapy: If your teen has heartburn due to gastritis caused by helicobacter pylori infection, your doctor will recommend antibiotic therapy. This treatment regime includes amoxicillin, clarithromycin, and a PPI in recommended doses .

Which of the following is an important dietary recommendation for avoiding heartburn quizlet?

Which of the following is an important dietary recommendation for avoiding heartburn? Eat smaller meals that are lower in fat.

Which of the following is not considered a part of the GI tract?

1. Which of the following organs is NOT part of the alimentary or GI tract? The liver is not part of the GI tract. The mouth, esophagus, stomach, small intestine, large intestine, rectum, and anus are considered part of the GI tract.

Which of the following is stored within the nucleus of the cell and acts as a code book for synthesizing?

The cell is the basic unit of life that is responsible for the structure and function of every organism. The information that dictates these structures and functions resides in deoxyribonucleic acid (DNA), which is stored within the nucleus of the cell.Jul 31, 2019

What is a recurrent and serious form of heartburn called?

Gastroesophageal reflux disease (GERD)May 22, 2020

Which of the following is not a gastrointestinal GI tract structure?

The correct answer is option (d) liver. The liver is an accessory organ of the digestive system, hence, it is not part of the gastrointestinal tract....

Which of the following is not part of the gastrointestinal GI tract quizlet?

Which of the following is NOT part of the gastrointestinal (GI) tract? The pancreas is an accessory organ of the digestive system, but is not part of the digestive tract.

Which of the following is stored within the nucleus of the cell?

Within the nucleus, DNA molecules, the cell's genetic machinery, are stored, repaired, transcribed and eventually replicated. Around the outside of the nucleus is an envelope consisting of two layers of membrane.

Is a medication that inhibits the ability of gastric cells to secrete?

Histamine H2-receptor antagonists and proton pump inhibitors are the main classes of drug used to inhibit gastric acid secretion. The former act by reversibly blocking the action of histamine, which is released from other mucosal cells in anticipation of a meal or when food enters the stomach.

Which of the following is a function of the nucleus quizlet?

The general purpose of the nucleus is to predetermine and control the production of proteins. It does this by storing the protein code in the DNA, which is hereditary.

How do you fix heartburn?

10 home remedies for heartburnEat a ripe banana. ... Chew sugar-free gum. ... Keep a food journal and avoid trigger foods. ... Resist the urge to overeat or eat quickly. ... Avoid late meals, snacking before bed and eating before exercising. ... Wear loose-fitting clothing. ... Adjust your sleep position.More items...•Dec 10, 2021

How do you stop heartburn?

Heartburn PreventionKeep a healthy weight.Avoid foods and beverages that make symptoms worse.Wear clothes that are loose around the waist.Eat smaller meals, and try not to overeat.Don't smoke.Avoid constipation.Get enough sleep and minimize stress.Wait 3 hours after eating before you lie down.More items...•Sep 28, 2021

What is heartburn and what are the causes of heartburn?

Heartburn occurs when stomach acid backs up into the tube that carries food from your mouth to your stomach (esophagus). Normally when you swallow, a band of muscle around the bottom of your esophagus (lower esophageal sphincter) relaxes to allow food and liquid to flow down into your stomach.

How to get rid of heartburn?

Lifestyle changes can help ease heartburn: Maintain a healthy weight. Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to back up into your esophagus. Avoid tightfitting clothing, which puts pressure on your abdomen and the lower esophageal sphincter. Avoid foods that trigger your heartburn.

What is the procedure to check for heartburn?

Endoscopy. An endoscopy procedure involves inserting a long, flexible tube (endoscope) down your throat and into your esophagus. A tiny camera on the end of the endoscope lets your doctor examine your esophagus, stomach and the beginning of your small intestine (duodenum). To determine if your heartburn is a symptom of GERD, ...

How to tell if heartburn is a symptom of GERD?

To determine if your heartburn is a symptom of GERD, your doctor may recommend: X-ray, to view the shape and condition of your esophagus and stomach. Endoscopy, to check for abnormalities in your esophagus. A tissue sample (biopsy) may be taken for analysis. Ambulatory acid probe tests, to identify when, and for how long, ...

How to avoid heartburn while sleeping?

Avoid lying down after a meal. Wait at least three hours. Avoid late meals. Elevate the head of your bed if you regularly experience heartburn at night or while trying to sleep. If that's not possible, insert a wedge between your mattress and box spring to eleva te your body from the waist up.

Can a stomach acid antacid heal the esophagus?

But they can't heal an esophagus damaged by stomach acid. H-2-receptor antagonists (H2RAs), which can reduce stomach acid. H2RAs don't act as quickly as antacids, but may provide longer relief. Proton pump inhibitors, such as lansoprazole (Prevacid 24HR) and omeprazole (Nexium 24HR, Prilosec OTC), which also can reduce stomach acid.

How do PPIs suppress gastric acid production?

PPIs suppress gastric acid production by blocking parietal cell hydrogen/potassium ion adenosine triphosphatase, known as the proton pump. This is the final common pathway for acid secretion. PPIs affect only active pumps, but not all proton pumps are active at any given time, and 25% of new proton pumps are synthesized daily. [34] As prodrugs, PPIs are generally slow in onset, owing to their requirement for enteric coating to allow small-intestinal absorption, subsequent concentration in parietal-cell canaliculi, and eventual activation in an acidic environment. [35] H2RAs act more swiftly than PPIs: a single dose of ranitidine, 75 mg, increased postprandial gastric pH above 3 and above 4 more rapidly than single doses of omeprazole, 10 and 20 mg. [36] Similarly, pH ≥3 was attained more rapidly with single-dose OTC H2RA plus antacid than with single-dose omeprazole. [37]

How do antacids work?

Whereas we once thought antacids acted in the gastric lumen by reducing gastric acidity, [13] we now know that they largely or completely work within the esophageal lumen. Antacids rapidly elevate esophageal pH and neutralize esophageal acid for up to 90 minutes after dosing, often with only modest changes in gastric pH. [14,15] A combination of weak antacid and alginic acid has long been available; the combination produces a foam barrier on top of the gastric pool that is designed to mechanically prevent reflux into the esophagus and neutralize acid. Other antacids are available as swallowable and chewable tablets, liquid suspensions, effervescent solutions, and chewing gum. Chewed tablet antacids and gum are more effective than liquid antacids, even though in vitro acid-neutralizing capacity may be substantially higher with the latter. [16]

Is nizatidine good for heartburn?

Famotidine and nizatidine are also efficacious for intermittent heartburn. In 565 OTC heartburn sufferers, famotidine, 5 and 10 mg up to twice daily, provided more rapid and more dependable relief than placebo. [19] . In 994 subjects, nizatidine, 75 mg up to twice daily, provided sustained adequate relief of more heartburn episodes than placebo.

Does H2RA have an antacid?

A combination of H2RA plus antacid should provide both antacid speed and H2RA sustained duration. Famotidine, 10 mg, plus calcium carbonate and magnesium hydroxide reduced gastric acidity more than use of H2RA alone and for longer than the antacid alone. [31] Our group, which used integrated gastric and esophageal acidity measurements, demonstrated similar synergy between ranitidine, 75 mg, and calcium carbonate for decreasing both gastric and esophageal acidity. [32] Such acid measures are widely accepted as surrogates for symptom control. Substantiating this concept was our demonstration of better control of heartburn severity for low-dose ranitidine plus calcium carbonate vs placebo. [32]

Types of OTC heartburn medicines

There was a time when the most common OTC remedies for heartburn were either chalky antacids or medicinal effervescent tablets. Anything stronger was usually very expensive, available only by prescription, and reserved for those who were diagnosed with bleeding ulcers or other serious digestion-related conditions.

Heartburn medicine factors to consider

When shopping for a new heartburn medicine, there are a number of important factors to consider. Some consumers might only need short-term relief from occasionally eating trigger foods. Others might need a longer-term treatment for chronic acid reflux, GERD, or a sensitive stomach.

Heartburn medicine prices

When formerly prescription-only PPIs, such as Nexium, first arrived on the market, the price point was notoriously high compared to OTC antacids.

Tips

Allow enough time for the medication to start working. Unlike an antacid tablet or liquid, both H2RAs and PPIs require time to enter the bloodstream and do their work. Some users experiencing severe heartburn pain could be disappointed by the elapsed time between treatment and relief.

How to stop heartburn in teenagers?

You may encourage your teen to consume healthy food and do some exercises to avoid weight gain and to improve overall health. However, there is no approved diet to prevent heartburn, and the triggering foods may vary among individuals.

How to diagnose heartburn in teens?

Diagnosis Of Heartburn In Teenagers. Heartburn can be diagnosed based on the symptoms and medical history of your teen. If dietary changes and medications do not improve it, your doctor may order tests to confirm the cause of heartburn.

What is the name of the acid splash in the chest?

The reverse acid splash gives rise to a painful burning feeling in the chest and throat and so the name. It is also sometimes called acid indigestion or pyrosis. Heartburn is not always caused by diseases such as gastroesophageal reflux disease (GERD)—more on this later.

What is the best treatment for gastritis in teens?

This treatment regime includes amoxicillin, clarithromycin, and a PPI in recommended doses (7).

Why do teens get heartburn?

Causes Of Heartburn In Teenagers. Heartburn can be caused due to GERD, a condition in which acid from the stomach flows up to the esophagus due to weakness or other problems of the lower esophageal sphincter. Heartburn may also often be caused due to the following factors besides GERD (2): Obesity. Overeating or eating very fast.

What is the test for esophageal tissue damage?

Upper gastrointestinal endoscopy and biopsy: This test could give clear information about esophageal tissue damages from acid and sphincter function. Your doctor may also collect samples for biopsy during endoscopy. Usually, endoscopy is done in severe and moderate cases of heartburn.

How do you know if you have heartburn?

The following symptoms are often associated with heartburn (1): Sour taste. Nausea. Vomiting. Halitosis (bad breath)

Diagnosis

Treatment

  • Many over-the-counter medications can help relieve heartburn. The options include: 1. Antacids,which help neutralize stomach acid. Antacids may provide quick relief. But they can't heal an esophagus damaged by stomach acid. 2. H-2-receptor antagonists (H2RAs), which can reduce stomach acid. H2RAsdon't act as quickly as antacids, but may provide lon...
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Clinical Trials

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Lifestyle and Home Remedies

  • Lifestyle changes can help ease heartburn: 1. Maintain a healthy weight.Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to back up into your esophagus. 2. Avoid tightfitting clothing,which puts pressure on your abdomen and the lower esophageal sphincter. 3. Avoid foods that trigger your heartburn. 4. Avoid lying down after a me…
See more on mayoclinic.org

Preparing For Your Appointment

  • You may be referred to a doctor who specializes in disorders of the digestive system (gastroenterologist).
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